Acceptability of a smart lighter for tracking cigarette smoking: A focus group study

Background Smart lighters track cigarette smoking episodes, which can help identify smoking patterns and intervention approaches to promote cessation. We gauged the acceptability of smart lighters among individuals with low socioeconomic status (SES), a target population for a newly developed smokin...

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Main Authors: Lydia Tesfaye, Michael Wakeman, Tim Gregory, Erin Leahy, Gunnar Baskin, Greg Gruse, Brandon Kendrick, Sherine El-Toukhy
Format: Article
Language:English
Published: SAGE Publishing 2025-03-01
Series:Digital Health
Online Access:https://doi.org/10.1177/20552076251323998
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author Lydia Tesfaye
Michael Wakeman
Tim Gregory
Erin Leahy
Gunnar Baskin
Greg Gruse
Brandon Kendrick
Sherine El-Toukhy
author_facet Lydia Tesfaye
Michael Wakeman
Tim Gregory
Erin Leahy
Gunnar Baskin
Greg Gruse
Brandon Kendrick
Sherine El-Toukhy
author_sort Lydia Tesfaye
collection DOAJ
description Background Smart lighters track cigarette smoking episodes, which can help identify smoking patterns and intervention approaches to promote cessation. We gauged the acceptability of smart lighters among individuals with low socioeconomic status (SES), a target population for a newly developed smoking cessation mobile intervention, to evaluate their potential use during the intervention pre-quit period. Methods Twelve virtual focus group discussions were conducted with 38 current cigarette smokers, 18–29 years old, who were not 4-year college-educated nor enrolled in a 4-year college as an SES indicator. Focus groups were audio recorded, transcribed, and analyzed using a deductive thematic approach. Themes captured sentiment (i.e., negative, neutral, positive) and constructs from the Second Unified Theory of Acceptance and Use of Technology (i.e., effort expectancy, facilitating conditions, hedonic motivation, performance expectancy, social influence). Results Sentiment toward smart lighters was positive (54.36%). Prominent themes relevant to acceptance of smart lighters were facilitating conditions (33.98%), performance expectancy (29.12%), and effort expectancy (16.50%). Concerns about privacy, lack of awareness of smart lighters, and their unaffordability were the primary facilitating conditions discussed. Smart lighters were considered easy to use and useful cessation aids because they minimize user burden in tracking smoking behavior. Skepticism about their usefulness centered on the possibility of inadvertently triggering cravings and subsequent smoking. Conclusions Ensuring the affordability, awareness, and usability of smart lighters can increase their acceptability. Use of smart lighters in cessation interventions can provide insights into smoking patterns with minimal user burden. Consideration must be given to their potential unintended effects as cueing smoking.
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spelling doaj-art-5d77884bff4e4ed08b03547bc52ca0c02025-08-20T03:40:34ZengSAGE PublishingDigital Health2055-20762025-03-011110.1177/20552076251323998Acceptability of a smart lighter for tracking cigarette smoking: A focus group studyLydia Tesfaye0Michael Wakeman1Tim Gregory2 Erin Leahy3Gunnar Baskin4Greg Gruse5Brandon Kendrick6Sherine El-Toukhy7 , Bethesda, MD, USA , Bethesda, MD, USA ICF, Reston, VA, USA ICF, Reston, VA, USA ICF, Reston, VA, USA ICF, Reston, VA, USA ICF, Reston, VA, USA , Bethesda, MD, USABackground Smart lighters track cigarette smoking episodes, which can help identify smoking patterns and intervention approaches to promote cessation. We gauged the acceptability of smart lighters among individuals with low socioeconomic status (SES), a target population for a newly developed smoking cessation mobile intervention, to evaluate their potential use during the intervention pre-quit period. Methods Twelve virtual focus group discussions were conducted with 38 current cigarette smokers, 18–29 years old, who were not 4-year college-educated nor enrolled in a 4-year college as an SES indicator. Focus groups were audio recorded, transcribed, and analyzed using a deductive thematic approach. Themes captured sentiment (i.e., negative, neutral, positive) and constructs from the Second Unified Theory of Acceptance and Use of Technology (i.e., effort expectancy, facilitating conditions, hedonic motivation, performance expectancy, social influence). Results Sentiment toward smart lighters was positive (54.36%). Prominent themes relevant to acceptance of smart lighters were facilitating conditions (33.98%), performance expectancy (29.12%), and effort expectancy (16.50%). Concerns about privacy, lack of awareness of smart lighters, and their unaffordability were the primary facilitating conditions discussed. Smart lighters were considered easy to use and useful cessation aids because they minimize user burden in tracking smoking behavior. Skepticism about their usefulness centered on the possibility of inadvertently triggering cravings and subsequent smoking. Conclusions Ensuring the affordability, awareness, and usability of smart lighters can increase their acceptability. Use of smart lighters in cessation interventions can provide insights into smoking patterns with minimal user burden. Consideration must be given to their potential unintended effects as cueing smoking.https://doi.org/10.1177/20552076251323998
spellingShingle Lydia Tesfaye
Michael Wakeman
Tim Gregory
Erin Leahy
Gunnar Baskin
Greg Gruse
Brandon Kendrick
Sherine El-Toukhy
Acceptability of a smart lighter for tracking cigarette smoking: A focus group study
Digital Health
title Acceptability of a smart lighter for tracking cigarette smoking: A focus group study
title_full Acceptability of a smart lighter for tracking cigarette smoking: A focus group study
title_fullStr Acceptability of a smart lighter for tracking cigarette smoking: A focus group study
title_full_unstemmed Acceptability of a smart lighter for tracking cigarette smoking: A focus group study
title_short Acceptability of a smart lighter for tracking cigarette smoking: A focus group study
title_sort acceptability of a smart lighter for tracking cigarette smoking a focus group study
url https://doi.org/10.1177/20552076251323998
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